Duplex renal collecting system presenting with hydroureteronephrosis following pelvic organ prolapse and sacrocolpopexy in an adult female

Timothy D Shu; Helen H Sun; Austin Fernstrum; Lynn L Woo; Kyle Ericson

doi:10.1016/j.eucr.2022.102188

Duplex renal collecting system presenting with hydroureteronephrosis following pelvic organ prolapse and sacrocolpopexy in an adult female

Urol Case Rep. 2022 Aug 18:45:102188. doi: 10.1016/j.eucr.2022.102188. eCollection 2022 Nov.

Authors

Timothy D Shu^{1

2}, Helen H Sun¹, Austin Fernstrum¹, Lynn L Woo³, Kyle Ericson¹

Affiliations

¹ Urology Institute, University Hospitals Cleveland Medical Center, 11100 Euclid Ave, Cleveland, OH, USA.
² Case Western Reserve University School of Medicine, 9501 Euclid Ave, Cleveland, OH, USA.
³ Division of Pediatric Urology, Rainbow Babies and Children's Hospital, 11100 Euclid Ave, Cleveland, OH, USA.

Abstract

Duplex collecting systems are common congenital abnormalities of the urinary tract but are infrequently reported in adult populations. This abnormality can present with hydroureteronephrosis secondary to urinary tract obstruction or concomitant vesicoureteral reflux (VUR), recurrent urinary tract infections (UTIs), and urinary incontinence. Options for surgical management include common-sheath ureteral reimplantation, uretero-ureterostomy, pyelostomy, and heminephroureterectomy. We report the case of a 39-year-old female with a duplex kidney who presented with severe hydroureteronephrosis following a sacrocolpopexy.

Keywords: CT, computed tomography; Duplex collecting system; Heminephrectomy; Heminephroureterectomy; POP, pelvic organ prolapse; Robotic-assisted laparoscopic surgery; Sacrocolpopexy; UTI, urinary tract infection; VUR, vesicoureteral reflux.

Publication types

Case Reports